Congressman Mike Bost

Representing the 12th District of Illinois

Agency Help

If you can't get an answer from a federal agency in a timely fashion, or if you feel you have been treated unfairly, our office may be able to help resolve a problem or get you the information you need. While we cannot guarantee you a favorable outcome, we will do our best to help you receive a fair and timely response to your problem.

This type of request is a three step process. Please complete as many fields in the form below as possible, required fields are noted. In the second step you will be asked for your date of birth and social security number. In the third step you will be asked to print the generated form and mail or fax it to our office.

Please Note:

The Privacy Act of 1974 (5 U.S.C. § 552a) requires that Members of Congress or their staff have written authorization before they can obtain information about an individual's case.
We must have your signature to proceed with this type of request.

Authorization Form

In accordance with the Privacy Act of 1974, I give Congressman Mike Bost authority to act on my behalf.

Your Information

marks required fields of data.

Today's Date:

Prefix:

First Name:

MI:

Last Name:

Suffix:

Agency Involved:

Agency case number(s) or "None"

Branch of Service: (If Applicable)

Military Rank: (If Applicable)

Street Address:

City:

State:

ZIP Code:

Email:

Telephone

Phone Number / Type:

What are these options?
This is to help the constituents that are hard of hearing or use a video phone alert us to that fact so we can use the proper technology when we need to call them. The default option “Voice” is a normal audible telephone.

Please Explain the Problem: